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General NPI Number Information
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NPI Number | 1265396402
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Entity Type | Individual
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Provider Name | NILOFAR GHASSEMI-BAKHTIARI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 6303 OWENSMOUTH AVE
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2264
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Country | US
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Telephone | 800-579-0512
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Fax |
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Provider Business Mailing Address
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Address Line | 22945 DE KALB DR
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City | CALABASAS
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State | CA
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Zip | 91302-1806
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Country | US
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Telephone | 818-274-1855
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95037190
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License Number State | CA
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